Complex Claims Team Lead - Workers' Compensation

Please review this important information applicable to California residents : Complex Claims Team Lead - Workers' Compensation page is loaded Complex Claims Team Lead - Workers' Compensation Apply locations Remote USA time type Full time posted on Posted 3 Days Ago job requisition id R14248 Berkshire Hathaway Direct Insurance Company (BHDIC) is the home of commercial small business insurance products biBerk Business Insurance and THREE by Berkshire Hathaway. Our Claims Department is looking for an experienced claims leader with a strong background in complex Workers’ Compensation claims. The Workers’ Compensation Complex Claims Team Lead will oversee a team handling nationwide high-exposure and catastophic claims and manage a reduced pending of complex Workers’ Compensation claims. This role provides technical guidance on highly complex and high-severity Workers’ Compensation claims and requires a comprehensive knowledge of Workers’ compensation regulations, laws, and best practices. This role will report to the WC Coverage & Litigation Supervisor. Location: This is a full-time remote position. This position may require occasional travel to attend mediations, trainings, and/or other related department meetings. Job Responsibilities The Claims Team Lead- WC Complex Claims will be responsible for, but not limited to: Investigate coverage, determine compensability, and manage a reduced pending of high exposure Workers’ Compensation claims involving catastophic injuries and complex cases Proactively establish and update reserves to reflect claim exposure and document rationale Resolve claims within authority and make independent case value recommendations to senior leadership on cases which exceed authority Participate in reserving, pricing and strategy discussions with senior leadership Collaborate with defense counsel to effectively manage litigated files according to established litigation management guidelines Ensure compliance with state and federal Workers’ Compensation regulations Provide exceptional customer service to policyholders, agents, injured workers, medical providers, legal, and vendors Recruit, onboard, performance management, and development of team members Partner with Claims Supervisor to regularly identify and address training opportunities Assist team with escalated issues, claim strategies, coverage positions, and guide team members to the appropriate resources Conduct performance and development discussions with team members Follow escalation and reporting requirements on claims with significant exposure Develop creative resolution strategies to manage losses involving complex issues, effectively utilizing appropriate internal and external resources Conduct team roundtables to align on reserves and settlement values Prioritize weekly team meetings and regular check-in discussions with team members Document claim files in accordance with company and regulatory guidelines Identify subrogation potential and red flags requiring SIU involvement Train new team members; provide ongoing coaching and support to team Act as a technical resource and maintain continuing education requirements Participate as a Subject Matter Expert in complex projects related to the Workers’ Compensation line of business Coordinate and participate in training for less experienced claims staff Qualifications Knowledge & Experience: Active adjuster license (TX, OK, or FL preferred) 10+ years of experience handling complex workers’ compensation claims Previous supervisory experience required Excellent organizational, leadership, and time management skills Experience with structured settlements and Medicare Set-Asides Ability to work in a fast-paced, collaborative, virtual office environment Excellent written and verbal communication skills Ability to work independently and meet assigned deadlines Strong negotiation skills Proficiency with MS Word, Excel and internetapplications Highly attentive to details Able to work under pressure and execute good judgment in sensitive situations Education: BA/BS degree required AIC, SCLA, CPCU or other industry designation a plus About Us biBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. Our ultimate parent, Berkshire Hathaway Inc. (berkshirehathaway.com) is a holding company with diversified interests in a host of industries, including insurance, energy, transportation and manufacturing. Most policies issued through biBerk.com will be underwritten by Berkshire Hathaway Direct Insurance Company ("BHDIC"), which is an AM Best rated A++ insurer. BHDIC is domiciled in Omaha, Nebraska. BHDIC and the team at biBerk are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust. Some highlights of our benefits are: Great work environment with growth opportunity Subsidized downtown parking (for in-office positions) Competitive compensation Generous amounts of vacation and sick time Closed on major holidays 401(k) with company match A fantastic healthcare package Tuition reimbursement after 6 months of employment Service recognition after 5 years of employment In accordance with pay transparency laws and regulations, the following good faith compensation range estimate is being provided. The salary range for this position is

$115,000 - $135,000 per year.

Final compensation will be based on candidate qualifications, geographic location, and other considerations permitted by law.

BHDIC - About Us!

Our employees are our greatest asset. We foster a dynamic team of collaborative individuals that are passionate about their work. Without our employees servicing biBerk and THREE, we’d be unable to achieve our goal of helping small businesses find the affordable and reliable insurance coverage they need. We’ve built an inclusive environment of hard working, creative individuals that allows for growth and success — no matter where you’re at in your career! So, what do we do? The answer is simple! We provide small business owners with the best coverage possible with separate products to fit their needs through biBerk and THREE. biBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. We offer several policies including Workers’ Compensation, Professional and General Liability, Commercial Auto, and more!

THREE covers everything a small business needs in one comprehensive, yet uncomplicated policy. Piecing together different policies can sometimes leave coverage gaps. THREE provides all the coverage most small businesses need in one seamless policy. Our ultimate parent, Berkshire Hathaway Inc. ( berkshirehathaway.com ), is a holding company with diversified interests in a host of industries, including insurance, energy, transportation, and manufacturing. Employees servicing biBerk and THREE are employed by our corporate entity, Berkshire Hathaway Direct Insurance Company (BHDIC), which is an AM Best rated A++ insurer. We value our employees and what’s important to them. That is why we offer a comprehensive benefits package including tuition reimbursement, a 401(k)-employer match, medical insurances, life insurances, parental leave, and generous amounts of paid time off to support a healthy work-life balance. The path to success starts with BHDIC. Come join our team!

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